Active NPI
Abigail Lue, PT, DPT
- Physical Therapist
- Allston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26713
- Practice address
- 100 N Beacon St
Allston, MA 02134-1928 - Phone
- (617) 726-9700
- NPI assigned
- Nov 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 64783 | OR | |
| Physical Therapist | 225100000X | 26713 | MA | Primary |
Addresses
Primary practice location
100 N Beacon St
Allston, MA 02134-1928
Mailing address
15495 SW Sparrow Loop Unit 101
Beaverton, OR 97007-9273
Phone (503) 935-6788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
760 Barnes Blvd
Suite 103
Rockledge, FL 32955-5314
Phone (321) 327-8509
8045 Spyglass Hill Rd
Suite 103
Melbourne, FL 32940-8567
Phone (321) 757-5515
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26713 | MA | MD | Physical Therapist |
| 64783 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axispro Physical Therapy LLC | Current | Accepting new patients | |
| Physical Therapy Professionals, LLC | Physical Therapist | Current | Accepting new patients |
Locations
8045 Spyglass Hill Rd
Ste 103
Melbourne, FL 32940
Phone (321) 757-5515
405 N Wickham Rd
Ste 103
Melbourne, FL 32935
Phone (321) 327-8509
5240 Babcock St NE
Ste 102
Palm Bay, FL 32905
Phone (321) 327-8509
470 Malabar Rd SE
Unit 102
Palm Bay, FL 32907
Phone (321) 591-4369
760 Barnes Blvd
Ste 103
Rockledge, FL 32955
Phone (321) 327-8509
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Melbourne, FL
- NPI 1821443474
-
- Physical Therapist
- Melbourne, FL
- NPI 1639276900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730764800000",
"number": "1497578736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15495 SW SPARROW LOOP UNIT 101",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970079273",
"telephone_number": "503-935-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BEACON ST",
"city": "ALLSTON",
"state": "MA",
"postal_code": "021341928",
"telephone_number": "617-726-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUE",
"first_name": "ABIGAIL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-05",
"last_updated": "2024-11-05",
"certification_date": "2024-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "64783",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "26713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.